Individuals with Disabilities Education Act Part C Program (BabyNet) Updates

PROVIDER ALERT

Continuity of Care Period Begins Oct. 1
The continuity of care period for the integration of the Individuals with Disabilities Education Act (IDEA) Part C program, commonly known as “BabyNet,” and South Carolina Healthy Connections Medicaid program begins Oct. 1. Prior to the continuity of care period, all providers who render services through the BabyNet program must be enrolled with Healthy Connections Medicaid. During the continuity of care period (Oct. 1-Dec. 31), managed care organizations (MCOs) will be required to pay Medicaid-enrolled providers listed on the Individualized Family Service Plan (IFSP) for services listed on the IFSP and delivered to their members that are covered by the MCOs,regardless of their credentialing status with that MCO.

In order to receive payment through an MCO for services during this period, BabyNet providers must submit to the MCO:

After the continuity of care period has ended (beginning Jan. 1, 2020), providers must be credentialed with an MCO to receive payment for services rendered on and after Jan. 1, 2020, to MCO-enrolled members.

Reminder: Healthy Connections Medicaid Providers Must Have a BabyNet Enrollment Agreement to Serve BabyNet Children

As stated in the July 10 Medicaid bulletin announcing the integration of the BabyNet and Healthy Connections Medicaid programs, providers must be enrolled as a BabyNet provider to bill for services paid through the BabyNet program. Effective Sept. 13, all providers must enter into a BabyNet enrollment agreement in order to bill for services provided through the BabyNet program. Providers who have submitted some, but not all, required paperwork in order to enroll should do so immediately.  Information and questions should be submitted through bnproviderenrollment@scdhhs.gov.

BabyNet and Medicaid Integration Frequently Asked Questions Updated
SCDHHS has updated the BabyNet and Healthy Connections Medicaid integration frequently asked questions (FAQ) page with new answers to questions the agency has received. New FAQs topics include:

  • How to avoid payor source errors;

  • A chart and FAQs about the payment cycle during the integration of BRIDGES; and,

  • A chart outlining the process and remittance dates for dates of service after June 30, 2019.

Additional updates to the FAQ page will be highlighted in future Medicaid alerts.

Thank you for your continued support of the South Carolina Healthy Connections Medicaid and BabyNet programs.

Tags: 
Report Fraud